How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $165.96 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $64.57 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $199.53 | $199.53 |
BCBS Alabama Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
BCBS Alabama Setting Professional Modifier 12 + 32 · Mandated service Typical Low $29.51 Median $109.65 Typical High $151.36 | Professional | 12 + 32 · Mandated service | $29.51 | $109.65 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $741.31 Typical High $831.76 | Facility | None | $416.87 | $741.31 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $125.89 | $208.93 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $53.70 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $158.49 | $199.53 |
United Setting Facility Modifier None Typical Low $630.96 Median $660.69 Typical High $870.96 | Facility | None | $630.96 | $660.69 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $208.93 | Professional | None (both parts) | $112.20 | $147.91 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $37.15 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $109.65 | $154.88 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $89.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $35.48 | $52.48 | $52.48 |
Where Alabama sits
The same service costs 3.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Alabama· 18th of 51
$209
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.